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Center for Quality of Care Research

Baystate Health (BH) has a long track record of innovation, outstanding performance, and national recognition for our quality of care.  This commitment led to the establishment of the Center for Quality of Care Research in October 2008. Members of the Center conduct research on quality, safety, and effectiveness, aiming to enhance our understanding of the mechanisms behind high quality care, and to contribute to making BH a learning organization that uses research to improve patient outcomes.

 

The mission of the Center for Quality of Care Research is to improve the care and outcomes of patients by developing innovative methods to measure the quality and outcomes of care, to evaluate the effectiveness of common treatments, and to improve care delivery through the design, implementation, and assessment of quality improvement interventions. Our efforts are guided by the belief that, like other biomedical innovations, the rigorous evaluation of strategies intended to improve quality and patient outcomes is essential for sound decision making by patients, providers, institutions, and policy makers. 

 

Highlights

 

In July 2013, Dr. Tara Lagu, MD, MPH, Assistant Professor of Medicine, received a five-year K-01 career development award from the National Heart, Lung, and Blood Institute (NHLBI). Dr. Lagu’s study, “Defining Optimal Clinical Strategies for Critically Ill Heart Failure Patients,” will use data from a sample of more than 300 US hospitals as well as qualitative interviews to help close the gap in our understanding of the strategies that lead to improved outcomes for critically ill patients with heart failure.

 

In August of 2013 Dr. Mihaela Stefan, MD, Assistant Professor of Medicine, received a four-year K-01 career development award from the National Heart, Lung, and Blood Institute (NHLBI). Dr. Stefan’s study, entitled, “Comparing Noninvasive and Invasive Ventilation in Patients with Acute Respiratory Failure,” will use EMR data from 150 hospitals. 

 

Dr. Sarah Goff, MD, Assistant Professor of Medicine, continued to lead a 3-year randomized, controlled trial funded by the Agency for Healthcare Research and Quality (R-21) entitled, “IDEAS for a Healthy Baby: Reducing Disparities in Consumer Use of Quality Data.”  The study is testing use of patient navigators to promote use of pediatric healthcare quality data when choosing a pediatrician amongst low-income pregnant women.

 

Dr. Goff received funding from the Baystate Incubator Fund to study the impact of an enhanced primary care team (Buena Salud) on preventive health and diabetic care and outcomes at Brightwood Health Center.

 

In May 2013, Mihaela Stefan, MD, Assistant Professor of Medicine, was awarded the Louis Lasagna award for Translational Research within the Sackler School of Graduate Biomedical Science.

 

Dr. Lagu was awarded the Earl P. Charlton Fund Research Award from Tufts University School of Medicine for her project entitled, “Use of Mechanical Ventilation in Patients with Dementia.”

 

Dr Peter Lindenauer, MD, MSc led a team that continued work on a 5-year R-18 award from the National Heart, Lung, and Blood Institute (NHLBI) that aims to compare the effectiveness of invasive and noninvasive ventilation in the management of patients with severe exacerbations of COPD.

 

Dr. Lindenauer completed the final year of 3-year R-18 award from Agency for Healthcare Research and Quality (AHRQ) to conduct an evaluation of Premier’s QUEST collaborative. The study aims to identify determinants of implementation effectiveness within a large quality improvement collaborative focused on reducing hospital mortality rates.

 

Dr Lindenauer also completed the final year of a 3-year R-01 award from AHRQ focused on the treatment and outcomes of patients with healthcare associated pneumonia (HCAP).

 

Dr. Lindenauer’s contract with the Yale University Center for Outcomes Research & Evaluation and the Centers for Medicare and Medicaid Services was renewed to continue work on the development and maintenance of hospital outcome measures in COPD and pneumonia.

 

Dr. Lindenauer served on the editorial boards of the Joint Commission Journal of Quality and Patient Safety, the Journal of Hospital Medicine, and Perioperative Medicine.  He was appointed as a temporary member of the Study Section Panel for K-01 and K-08 Career Development Awards at the NHLBI.  Dr. Lindenauer served on the Scientific Advisory Board of the Tufts Clinical and Translational Science Institute (CTSI) and was a member of the Tufts CTSI Pilot Grant Review Committee. Dr Lindenauer served on the External Advisory Board of the Center for Healthcare Improvement and Patient Safety at the University of Pennsylvania School of Medicine. He served as the conference co-chair of the AAMC-sponsored Innovations in Hospital Medicine.  Dr Lindenauer was appointed director of the research track within the residency program in internal medicine.

 

Dr. Lagu was appointed co-director of scholarly activities in the Department of Medicine at Baystate Medical Center.  She was also appointed to the American College of Physician’s (ACP) Massachusetts Council of Early Career physicians and invited to become a deputy editor at the Journal of General Internal Medicine. She was an invited speaker at the Robert Wood Johnson Foundation annual meeting in 2013 and at the Annual Academy Health Meeting in 2012. She presented abstracts at the Society of Critical Care Medicine Annual Congress and at the Society of General Internal Medicine Annual meeting. She was also chosen to attend the American Association of Medical Colleges Early Career Women’s Professional Development Seminar.

 

Dr. Stefan served on the Scientific Affairs Committee of Tufts University School of Medicine, the Baystate Health Inc. Risk Management Grant program, and numerous other Baystate Committees. She was appointed co-director of scholarly activities in the Department of Medicine at Baystate Medical Center. She presented abstracts at the American Thoracic Society.  She was chosen to attend the 2013 Oregon Institute for Patient-Centered Comparative Effectiveness Annual Research Intensive. She joined the editorial board of the journal of Hospital Practice. In October 2012 she passed the American Board Exam of Hospice and Palliative Medicine.

 

Dr. Goff was appointed co-director of scholarly activities in the Department of Medicine at Baystate Medical Center. She served on the Department of Medicine Scientific Review Committee. She presented abstracts at the Society of Maternal Fetal Medicine annual meeting, AcademyHealth, and was the lead author on an abstract presented as an oral presentation at the Society for General Internal Medicine. She passed the American Board of Internal Medicine Recertification exam.

 

Dr. Evan Benjamin served on the Board of Trustees of Catholic Healthcare Partners, OH, and chairs the Board Quality Committee. He served on the Massachusetts Board of Registration in Medicine Hospital Patient Care Assessment Program.

 

The Center has continued to sponsor a well-attended, weekly research-in-progress meeting that brings together faculty from across the institution and regularly benefits from the participation of visiting scholars.

 

Faculty within the Center had an extremely productive and successful year, with approximately 27 publications in leading peer-reviewed medical journals in a variety of disciplines, including: BMJ, Annals of Internal Medicine, JAMA-Internal Medicine, Chest, Critical Care Medicine, Thorax, Journal of Hospital Medicine, and BMJ Quality and Safety.  Dr Lagu’s study of access to care for patients with physical disabilities received widespread attention, including the New York Times as well as other newspaper, radio and television outlets.

 

For a complete listing of Center for Quality of Care Research publications

 

 

For more information on the Center for Quality of Care Research

For more information on Quality at Baystate Health

For more information on the Agency for Healthcare Research and Quality